Individual provider · Type 1 NPI

Terrance Lorne Jackson, DMD

Dentist · Chicago, IL

NPI number 1356929335 Active

Practice location

6260 N Broadway St
Chicago, IL 60660-1968

Mailing address

169 W Huron St Unit 1105
Chicago, IL 60654-3612

Other practice locations

  • 2138 Madison Ave, Toledo, OH 43604-5131 · (419) 241-6215
  • 8301 S Holland Rd Ste B, Chicago, IL 60620-1303 · (773) 488-2444

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X019.033509 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1356929335

Terrance Lorne Jackson, DMD's National Provider Identifier is 1356929335, issued on Mar 31, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on May 10, 2023.